Predictors of survival in a group of patients with chronic airflow obstruction
| Autor: | E. Caria, E. Bignamini, M. Bugiani, F. Nebiolo, P. Piccioni, G. Forconi, W. Arossa |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Epidemiology Vital Capacity Predictive Value of Tests Internal medicine Cause of Death Forced Expiratory Volume medicine Humans Lung Diseases Obstructive Intensive care medicine Survival analysis Cause of death Asthma Aged Proportional Hazards Models Aged 80 and over Proportional hazards model business.industry Mortality rate Oxygen Inhalation Therapy Airway obstruction Middle Aged medicine.disease Survival Analysis Cohort Linear Models Patient Compliance Female Blood Gas Analysis business Cohort study Follow-Up Studies |
| Zdroj: | Journal of clinical epidemiology. 51(7) |
| ISSN: | 0895-4356 |
| Popis: | This article shows the results of a 10-year follow-up study conducted on a cohort of 870 patients affected by severe chronic airflow obstruction (CAO) on spirometric tests. The main aims of the study were to identify those factors associated with reduced survival in CAO patients and to evaluate the effectiveness of a care program on patients' survival. The analysis compared the survival time and causes of death between patients who showed adherence and patients who did not show adherence to the care program. The most important results can be summarized as follows: (1) CAO patients have a high mortality rate for acute respiratory failure, cor-pulmonale, and lung cancer; (2) patient's age at the time of selection to enter follow-up influences the death hazard; (3) patients who need long-term oxygen treatment (LTOT) have a higher death hazard than those who don't need it; (4) the higher is FEV1 or PaO2 value at the time of selection, the lower the death hazard; (5) patients who need, and regularly take, long-term oxygen treatment have a lower death hazard compared to those who need it, but do not take it properly; and (6) patients with a partial reversible airway obstruction (pRAO) who regularly attend the clinic for planned check-ups, have a lower death hazard compared to those who have the same characteristics, but do not show adherence to the care program. These results indicate that an organized program to treat severe CAO patients may improve their survival. |
| Databáze: | OpenAIRE |
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